Common use of Balance Billing Clause in Contracts

Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Service, except what is due under the Contract, e.g., Copayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill you for fees in excess of the MAC. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Group Health Care Contract

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Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement with us to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Serviceamount, except what is due under the Contract, e.g., Copayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill xxxx you for fees in excess of the MAC. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Certificate of Coverage

Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement with us to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Service, except what is due under the Contract, e.g., Copaymentscopayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill xxxx you for fees in excess of the MAC. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Certificate of Coverage

Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement with Us to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Service, except what is due under the Contract, e.g., Copaymentscopayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill you for fees in excess of the MACYou directly. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Certificate of Coverage

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Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement with us to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Service, except what is due under the Contract, e.g., Copaymentscopayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill you for fees in excess of the MAC. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Certificate of Coverage

Balance Billing. In-Network Providers are prohibited from balance billing. In-Network Providers have signed an agreement with Us to accept a predetermined allowed amount for Covered Services rendered to a Member. A Member is not liable for fees in excess of the allowed amount for a Covered Service, except what is due under the Contract, e.g., Copaymentscopayments, Deductibles or Coinsurance. Out-of-Network Providers are not under an agreement with Alliant and may bill you xxxx You for fees in excess of the MAC. Non-Covered Services are the sole responsibility of the Member when received from any Provider regardless of network status.

Appears in 1 contract

Samples: Certificate of Coverage

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